Compare Flagler County Florida
Medicare Advantage Plans

A Medicare Advantage Plan in Flagler County, FL can provide additional benefits above and beyond Original Medicare. There are 40 Medicare Advantage Plans (Part-C) available in Flagler County from 11 different health insurance providers to compare in 2023. 26 of these Medicare Advantage Plans offer additional gap coverage to help avoid the “donut hole”. The plan with the lowest out-of-pocket expense is $2500 and the highest out-of-pocket is $8300. Flagler County Florida qualifying beneficiaries can also pick from 21 Medicare Special Needs Plans. The highest rated Medicare Advantage Plan in Flagler County Florida received a 4.5 overall star rating from CMS.



Most Popular Plans by Enrollment in Flagler County, Florida

Plan Name Plan ID Marketing Name Monthly
Premium
Enrollment
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
R0759-001
UnitedHealthcare $0 43159
BlueMedicare Choice (Regional PPO)
R3332-001
Florida Blue $49.90 30016
HumanaChoice Florida H5216-070 (PPO)
H5216-070
Humana $0 22447
AARP Medicare Advantage Choice (PPO)
H2406-013
UnitedHealthcare $0 21576
AARP Medicare Advantage (HMO-POS)
H1045-026
UnitedHealthcare $0 20236


2023 Medicare Advantage Plans in Flagler County, FL

(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)


Name ⇅ Monthly
Premium
Deductible MOOP Gap 2023 Plan
Stars
Rating
Wellcare Premium Enhanced Open (PPO)
(H5199-010)

$99.00 $0 $3,500 Yes
Wellcare No Premium Open (PPO)
(H5199-008)

$0 $150.00 $5,500 Yes
Wellcare No Premium (HMO)
(H1032-205)

$0 $0 $2,500 Yes
Wellcare Giveback (HMO)
(H1032-204)

$0 $0 $3,200 Yes
Simply Freedom (PPO)
(H9469-003)

$0 $150.00 $6,500 YesToo New
HumanaChoice R5826-074 (Regional PPO)

$4.00 $395.00 $7,550 No
HumanaChoice R5826-005 (Regional PPO)

$111.00 $100.00 $6,700 No
HumanaChoice Florida H7284-009 (PPO)

$0 $0 $4,800 Yes
HumanaChoice Florida H7284-006 (PPO)

$0 $0 $3,300 Yes
HumanaChoice Florida H5216-070 (PPO)

$0 $175.00 $5,500 Yes
Humana Gold Plus H1036-157 (HMO)

$0 $0 $3,700 Yes
Humana Gold Plus H1036-044 (HMO)

$0 $0 $3,200 Yes
FHCP Medicare Rx Savings (HMO)
(H1035-014)

$0 $395.00 $8,300 No
FHCP Medicare Rx Plus (HMO-POS)
(H1035-002)

$34.00 $0 $3,400 Yes
FHCP Medicare Rx (HMO)
(H1035-006)

$0 $295.00 $6,300 Yes
FHCP Medicare Premier Advantage (HMO)
(H1035-040)

$0 $0 $3,650 Yes
Devoted ESSENTIALS Daytona (HMO)
(H1290-049)

$0 $0 $5,500 Yes
Devoted CORE Daytona (HMO)
(H1290-050)

$0 $0 $3,700 Yes
Devoted CHOICE (PPO)
(H9884-004)

$0 $150.00 $5,500 YesToo New
Cigna True Choice Medicare (PPO)
(H7849-047)

$0 $0 $4,700 No
Cigna Primary Medicare (HMO)
(H5410-034)

$22.00 $505.00 $3,500 No
Cigna Preferred Savings Medicare (HMO)
(H5410-028)

$0 $0 $4,750 No
Cigna Preferred Medicare (HMO)
(H5410-027)

$0 $0 $3,300 No
CareOne Plus (HMO)
(H1019-098)

$0 $0 $3,000 Yes
CareFree Platinum (HMO)
(H1019-140)

$0 $0 $3,400 Yes
CareFree (HMO)
(H1019-099)

$0 $0 $3,400 Yes
BlueMedicare Value (PPO)
(H5434-031)

$0 $150.00 $4,500 Yes
BlueMedicare Choice (Regional PPO)
(R3332-001)

$49.90 $250.00 $6,500 Yes
Aetna Medicare Select (HMO)
(H1609-059)

$0 $0 $3,400 Yes
Aetna Medicare Premier Plus (PPO)
(H5521-269)

$0 $150.00 $4,500 Yes
AARP Medicare Advantage Choice Plan 2 (Regional PPO)
(R0759-001)

$0 $195.00 $6,700 Yes
AARP Medicare Advantage Choice (PPO)
(H2406-013)

$0 $0 $4,900 Yes
AARP Medicare Advantage (HMO-POS)
(H1045-026)

$0 $0 $3,400 Yes






Florida Part-C Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP 2023 Plan
Stars
Rating
Lasso Healthcare Growth Plus (MSA)
(H1924-004)

MSA* $-NA
Lasso Healthcare Growth (MSA)
(H1924-001)

MSA* $-NA
HumanaChoice R5826-018 (Regional PPO)
(R5826-018)

$0 RegionalPPO* $7,550
Humana Honor (PPO)
(H5216-257)

$0 LocalPPO* $5,100
Humana Honor (HMO)
(H1036-056)

$0 LocalHMO* $5,500
CareSalute (HMO)
(H1019-131)

$0 LocalHMO* $6,000
AARP Medicare Advantage Patriot (Regional PPO)
(R0759-002)

$0 RegionalPPO* $6,700





Medicare Special Needs Plans in Flagler County Florida

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special
Needs
Type
2023 Plan
Stars
Rating
Wellcare Dual Select (HMO D-SNP)
(H1032-182)
   $35.90 $505.00  No Dual-Eligible
Wellcare Dual Liberty (HMO D-SNP)
(H1032-175)
   $35.90 $505.00  No Dual-Eligible
Wellcare Dual Access Open (PPO D-SNP)
(H5199-016)
   $18.60 $505.00  No Dual-Eligible
Wellcare Dual Access (HMO D-SNP)
(H1032-124)
   $35.90 $505.00  No Dual-Eligible
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
(R0759-003)
   $35.90 $505.00  No Dual-Eligible
UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
(H2509-001)
   $35.90 $505.00  No Dual-EligibleToo New
UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
(H1045-039)
   $35.90 $505.00  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (PPO D-SNP)
(H1889-002)
   $35.90 $505.00  No Dual-Eligible
Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)
(H1036-209)
   $20.50 $505.00  No Dual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
(H1036-301)
   $0 $0  Yes Chronic or Disabling Condition
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
(H1036-156)
   $0 $0  Yes Chronic or Disabling Condition
Humana Fully Integrated H1036-280 (HMO D-SNP)
(H1036-280)
   $28.80 $505.00  No Dual-Eligible
Devoted DUAL Daytona (HMO D-SNP)
(H1290-041)
   $31.70 $505.00  Yes Dual-Eligible
Cigna TotalCare Plus (HMO D-SNP)
(H5410-031)
   $19.40 $505.00  No Dual-Eligible
Cigna TotalCare (HMO D-SNP)
(H5410-045)
   $19.60 $505.00  No Dual-Eligible
CareNeeds Plus (HMO D-SNP)
(H1019-073)
   $17.00 $505.00  No Dual-Eligible
CareComplete Platinum (HMO C-SNP)
(H1019-108)
   $0 $0  Yes Chronic or Disabling Condition
CareComplete (HMO C-SNP)
(H1019-129)
   $0 $0  Yes Chronic or Disabling Condition
CareBreeze Platinum (HMO C-SNP)
(H1019-117)
   $0 $0  Yes Chronic or Disabling Condition
CareBreeze (HMO C-SNP)
(H1019-126)
   $0 $0  Yes Chronic or Disabling Condition
Aetna Medicare Assure Plus (HMO D-SNP)
(H1609-055)
   $30.90 $505.00  No Dual-Eligible



Types of MA Plan in FL


HMO - Health Maintenance Organization. A Health Maintenance Organization manages your Part A and Part B health insurance benefits. In most cases you need to choose a primary care doctor. Health Maintenance Organization's offers services through a network of contracted hospitals, doctors and other providers, and the plan pays the providers directly. You generally must receive all Healthcare from the plan providers or through referrals from the plan provider. Emergency care, and out-of-area urgent care is still covered. An HMO-POS plan allows you to get some services out-of-network.

PPO - Preferred Provider Organization. A Preferred Provider Organization offers a network of doctors, hospitals, and other providers you can choose from. Because providers are preferred, you can save money by using in network providers or usually pay a higher cost to use out-of-network providers. A primary care doctor is not required.

PFFS - Private Fee For Service. A Private Fee For Service plan allows you greater flexibility in choosing a Florida provider. You may obtain covered services from any Medicare eligible provider who is willing to accept the plan's terms. The Healthcare provider must agree to accept the plan's terms before each visit. Some of these plans have a network of approved providers that have agreed to treat plan members.

SNP - Special Needs Plan. A Special Needs Plan is for individuals who receive Medicare and Medicaid, have specific severe or disabling chronic conditions or reside in a licensed nursing home or skilled facility. SNP plans must provide prescription drug coverage to Flagler County Florida residents.

Cost - Cost Plan. A cost plan doesn't replace your Original Medicare. It offers additional benefits to Original Medicare. If the cost plan doesn't include prescription drug coverage, you can enroll in a Part-D plan separately.





Can I get help in the coverage gap in Flagler County, FL?


Yes. 26 Medicare Advantage Plans in Flagler County offer additional gap coverage. Once in the coverage gap, you’ll pay no more than 25% of the cost for brand-name and generic prescription drugs. If you choose a drug plan that includes coverage in the gap, you may get a discount applied to the drug's price.

Are there Medicare Advantage Plans in Flagler County, FL?


There are 40 Medicare Advantage Plans available in Flagler County, Florida from 11 different health insurance providers. These plans offer additional benefits that aren't available through Original Medicare. Medicare beneficiaries who are interested in a Part-C policy may choose among many plans to compare versus Franklin County Medicare Advantage Plans.



How much is a Medicare Plan in Flagler County, FL?


Individuals who are interested in a Medicare Advantage Plan in Florida may choose among many cost options depending on your necessary benefits. The lowest plan premium is $0 and the highest premium is $111. The deductibles in Flagler County range from $0-$505. The plan with the lowest out-of-pocket (MOOP) expense is $2500 and the highest out-of-pocket is $8300.



Things to consider when choosing a MA Plan in Flagler


  • Are you eligible for a Medicare Advantage Plan?

  • How much are the premiums, deductibles, and other costs?

  • Is there a yearly limit on what you could pay out-of-pocket?

  • Does the plan cover your prescription drugs?

  • Will you hit the prescription drug coverage gap?

  • Is your pharmacy in the plan’s network?

  • Will your prescription drugs require prior authorization?

  • How well does the plan cover the services you need like vision, hearing, or dental?

  • Are your doctors in-network?

  • Will you need to be referred to see a specialist?

  • Does the plan cover services from out-of-network providers?

  • How does the plan compare to your current coverage?

  • Do you want to juggle multiple Medicare plans?


Special Needs Plan in Flagler County Explained


C-SNP - Chronic Condition SNP. These plans help individuals receive customized care to fit their unique health care needs. You may qualify for C-SNP if you have one or more specific severe or disabling chronic conditions like:

  • Stroke
  • Certain neurologic disorders
  • Certain chronic and disabling mental health conditions
  • HIV/AIDS
  • Certain chronic lung disorders
  • Diabetes mellitus
  • End-Stage Renal Disease (ESRD)
  • End-stage liver disease
  • Certain severe hematologic disorders
  • Chronic alcohol and other drug dependence
  • Certain cardiovascular disorders
  • Cancer
  • Chronic heart failure
  • Certain autoimmune disorders
  • Dementia

I-SNP - Institutional SNP. These plans require 90 days or longer stay in a facility, or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF), a LTC nursing facility (NF), an intermediate care facility for individuals with intellectual disabilities, or an inpatient psychiatric facility.

D-SNP - Dual Eligible SNP. Florida Medicare and Medicaid enrollees who have limited income and resources may get help paying for their premiums and out-of-pocket medical expenses from Medicaid. Eligibility is based on a percentage of Federal Poverty Levels.


When to sign up for a Florida Medicare Advantage Plan?


Below mentioned are the types of the enrollment period, along with the instructions on what to do during this period:

Initial Enrollment Period (IEP). This period starts 3 months prior to the month you will turn 65. It ends after 3 months you have turned 65. At this stage, you can sign up for a Florida Medicare Advantage Plan.

Annual Enrollment Period (AEP). Also known as the Open Enrollment Period, it starts on the 15th of October and ends on the 7th of December. At this stage, you can either sign up for the plan, switch or leave your current plan.

Special Enrollment Period (SEP). This enrollment period depends on the personal circumstances of the beneficiaries, like if you move or lose insurance coverage. Check to determine if you qualify to modify your plan.

Open Enrollment Period. Jan 1 – Mar 31. If you’re enrolled in a Florida Medicare Advantage Plan, you can switch to a different Medicare Part-C Plan in Flagler County, FL or switch to Original Medicare once during this time.

5-star Special Enrollment Period. Dec 8 - Nov 30. If a Centers for Medicare and Medicaid Services (CMS) 5-star plan is available in your area you can switch to the 5-star plan once during this period.



Check for CMS Star Ratings

Centers for Medicare & Medicaid Service (CMS) assesses the quality of medical services of Medicare Advantage Plan using a 5-star rating system. A report is released yearly for the public to assess the quality of healthcare services. Thus, if you are searching for the highest Medicare Advantage Plan in your state, research the CMS ratings and costs of the plans report for further information.


Can I get a Medicare Advantage Plans in Flagler County, FL?

Yes. There are 40 Medicare Advantage Plans available in Flagler County, Florida from 11 different health insurance providers. These plans offer additional benefits that aren't available through Original Medicare.

How much is a Medicare Plan in Flagler County, Florida?

Florida residents who are interested in a Medicare Advantage Plan may choose among many cost options depending on your necessary benefits. The lowest plan premium is $0 and the highest premium is $111. The deductibles in Flagler County range from $0-$505

Can I get help in the coverage gap in Flagler County, FL?

Yes. 26 Medicare Advantage Plans in Flagler County offer additional gap coverage. Once in the coverage gap, you’ll pay no more than 25% of the cost for brand-name and generic prescription drugs. If you choose a drug plan that includes coverage in the gap, you may get a discount applied to the drug's price.

What is the most popular plan in Flagler, FL?

The most popular plan by enrollment in Flagler is the AARP Medicare Advantage Choice Plan 2 (Regional PPO) with 43159 enrollment.



Source: CMS. Data as of Oct 1, 2022.
Plans are subject to change as contracts are finalized.
Includes 2023 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2023, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.